Approve and authorize the Chairman to execute Certificates of Public Convenience and Necessity (COPCN’s) for all first response agencies in Seminole County’s EMS system, AdventHealth EMS, AdventHealth Flight 1, Orlando Health dba Arnold Palmer for Children-Pediatric Acute and Critical Care Transport and Winnie Palmer Hospital Neonatal Transport, The Nemours Foundation dba Nemours Children’s Hospital, Florida, First2Aid EMS, Inc. dba Trident EMS, Medfleet, LLC dba ATI Ambulance, Lifefleet Southeast, Inc. dba American Medical Response, Rocky Mountain Holdings, LLC dba Air Care, RG Ambulance Service, Inc. dba American Ambulance, National Health Transport, Inc., Osceola Regional Hospital, Inc. dba HCA Florida Osceola Hospital, and R&E Ambulance Transport, LLC dba AllCare Medical Transport to become effective July 1, 2026; Approve Second Amendment to Franchise Agreements for First2Aid EMS, Inc. dba Trident EMS, Medfleet, LLC dba ATI Ambulance, Lifefleet Southeast, Inc. dba American Medical Response, Rocky Mountain Holdings, LLC dba Air Care, RG Ambulance Service, Inc. dba American Ambulance, National Health Transport, Inc.; and Approve Franchise Agreement for R&E Ambulance Transport, LLC dba AllCare Medical Transport Countywide (Matt Kinley, Fire Chief)

Consent Item Passed Introduced April 22, 2026

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